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Maine rates for HCPCS 86403

Particle Agglutination Screen Each Antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $51.58 / $99.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $11.90 / $17.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.17 / $15.41 / $103.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.62 / $11.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.04 / $14.17 / $23.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $13.87 / $16.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $13.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $99.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $12.11 / $23.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $13.88 / $20.82